HomeMy Public PortalAbout9716 BROADWAY_Mechanical__ . ' ' CITY OF TEMPLE CITY
fi Ali fiAr-'CE BIB - 9-/i APPLICATION FOR PERMIT
HEATING - VENTILATING : AIR CONOITIONING
COUNTY OF LOS ANGELES BUILDING
9716 East Broadway
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY Temple City
NEAREST
CROSS sT. Temple City Boulevard
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) Smith M.
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 9716 East Broadway
CITY Te le Crit TEL. NO. 'L 6— G
ABSORPTION UNIT, BTU
CONTRACTORPaCif C Insta ers
AIR HANDLING UNIT, CFM
ADDRESS 10920 East Grand
BOILER, BTU CITY Temple NO.
Tem le Cit442-7070
COMPRESSOR, BTU� STATE LIC.
211898
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GGRR^OUPz/o//N"E ESSED BY
EVAPORATIVE COOLER
629
EVAPORATIVE �(� /�-A--/ }
' d
FURNACE: FAU GRA� V��IIT�T}}''��— V
FLOOR—BTU ,/ n� vC/ INSPECTION REC D
HEATER: SUSPENDED—UNIT—
WALL
USPENDED_UNIT
WALL
® W
?G h
• Z
PIRn cheek Fre 2.5m of above. Ser. reverse.
Pf"liMIT ISSUING FEE s 3 00
TOTAL, FEF. _
/
PLAN CHECK APPLICANT
i
NAME ,' /�
ADDRESS �
1 V
''ffr
CITY TEL.NO.
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL OPOINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSP OR'S SIGNATURE
LATINS, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACT G IN VIOLATION
OF CHAPTER 9, DIVISION 3. OF TH BUSINESS PROFESSIONAL FINAL
CODE OF THE STATE OFC FOP
SIGNATURE PERMIT VALIDATIONcK. M.O. GASH
OF PERMITTEE
PLAN CHECK VALIDATION CK, M.G. CASH
6 > 673 JU J 11 s o 1 3.0 0
SEE BACK,OF APPLICATION FOR COMPLETE FEE SCHEDULE